<!--
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<!DOCTYPE html>
<html>
    <head>
        <title></title>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
    </head>
    <body>
        <div><form action="process.php" method="POST">
                <table>
                    <tr bgcolor="#cccccc">
                        <td width="150">
                            Item
                        </td>
                        <td width="50">Quality</td>
                    </tr>
                    <tr>
                        <td>
                            Tires
                        </td>
                        <td align="center">
                            <input type="text" name="tireqty" size="3" maxlength="3" /> 
                        </td>
                    </tr>
                    <tr>
                        <td>
                            Oil
                        </td>
                        <td align="center">
                            <input type="text" name="oilqty" size="3" maxlength="3" /> 
                        </td>
                    </tr>
                    <tr>
                        <td>
                            Spark Plugs
                        </td>
                        <td align="center">
                            <input type="text" name="sparkqty" size="3" maxlength="3" /> 
                        </td>
                    </tr>
                    <tr><td><input type="submit" value="Submit Order"></td></tr>
                </table>
            </form>
        </div>
    </body>
</html>
